Thoracoscopic Clipping of Intercostal Artery for Treatment of Type II Endoleak Following Frozen Elephant Trunk Procedure: Case Report.
Eduard CharchyanDenis BreshenkovOmar MutaevDmitriy BazarovAlexander GrigorchukYuriy BelovPublished in: Innovations (Philadelphia, Pa.) (2023)
A 38-year-old man with history of Crawford extent I thoracoabdominal aneurysm and chronic type B 1,10 aortic dissection underwent a hybrid repair using the frozen elephant trunk technique. The patient was followed up annually, and type II endoleak of the descending thoracic aorta was diagnosed, leading to negative aortic remodeling. The endoleak was managed by performing intercostal artery clipping using minimally invasive thoracoscopic technique under transesophageal echocardiography control. The computed tomography scan showed no endoleak and complete false-lumen thrombosis with positive remodeling in the distal aortic segments.
Keyphrases
- aortic dissection
- aortic aneurysm
- minimally invasive
- computed tomography
- abdominal aortic aneurysm
- case report
- thoracic surgery
- robot assisted
- aortic valve
- pulmonary artery
- left ventricular
- positron emission tomography
- coronary artery
- magnetic resonance imaging
- lower limb
- spinal cord
- pulmonary hypertension
- pulmonary embolism
- contrast enhanced
- ultrasound guided
- magnetic resonance
- image quality
- smoking cessation